GRQ¶WQHHG SRRUGLHWVDUH now theidaindia.com/wp-content/uploads/2020/03/IDA_BC_Dietetics_day_202… · scientifically validated ergogenic aids. DIETITIAN REACHING THE UNREACHED A Sports

DIETITIANS REACHING THE UNREACHED

Indian Dietetic Association (IDA)

works to promotes towards educating,

advocating to reduce the Six main risk

factors for preventable chronic diseases:

Poor nutrition

Food safety

Tobacco use

Lack of physical activity

Hygiene

Non nutritional dependencies.

Good nutrition is essential for keeping

people healthy across the lifespan. A

healthy diet helps children grow and

develop properly and reduce their risk

of chronic diseases, including obesity.

Adults who eat a healthy diet live

longer and have a lower risk of obesity,

heart disease, type 2 diabetes, and

certain cancers. Healthy eating can help

people with chronic diseases manage

these conditions and prevent

complications.

Improving children’s nutrition requires

food systems to deliver nutritious, safe,

affordable and sustainable diets for all

children. Millions of children are eating

too little of what they need, and

millions are eating too much of what

they don’t need: poor diets are now the

main risk factor for the global burden

of disease.

FOOD AND NUTRITION FACT SHEET-2020

NUTRITIONAL INDICATORS

.

.

Triple Burden of Malnutrition threatens the survival, growth and development of children,

young people, economies and nations Globalization, urbanization, inequities, humanitarian

crises and climate shocks are driving unprecedented negative changes in the nutrition

situation of children around the world.

In cities, many poor children live in ‘food deserts’, facing an absence of healthy food options,

or in ‘food swamps’, confronted with an abundance of high-calorie, low-nutrient, processed

foods.

Poor families tend to select low-quality food that costs less. Because of poverty and

exclusion, the most disadvantaged children face the greatest risk of all forms of malnutrition


RESPONSIBILITIES OF FOOD AND NUTRITION PRACTITIONERS

To address the burden of malnutrition, it is believed that interventions are needed that can

incorporate multiple levels of the socio ecological model that can be sustained for many

years.

Thus, interventions need to address :changing individual-level energy balance behaviors

be delivered in many settings to increase accessibility to intervention influence the

environment in which clients live, work, and play impact on policy that can assist with

context for supporting engagement in energy balance behaviours within the population to

improve weight management.


• Eat balanced and healthy meals. Watch Portion Sizes• Eating a variety of plant foods can help. Vegetables, beans, and lentils are all great substitutes

Incorporate good servings of fresh fruits and vegetables.• Switch to unrefined whole grains and legumes. Experiment with Plant-Based Meals Expand

variety in your menus with budget friendly meatless meals• Read the Food Labels• Reading the Nutrition Facts panel can help you shop and eat or drink smarter. Review

ingredients on the food label to help identify sources of added sugar• Reduce added sugars.• Foods and drinks with added sugars can contribute empty calories and little or no nutrition• Cook your own foods at home to make it healthy, rewarding and cost-effective• Get kids involved in meal planning and cooking and use this time to teach them about good

nutrition• Eat Out without Ditching Goals -choose foods carefully and look for healthier options that are

grilled, baked, broiled or steamed.• Make an effort to reduce food waste.• Plan meals based on leftovers and only buy what you will use or freeze within a couple of days.• Slow Down at mealtime.• Instead of eating on the run, try sitting down and focusing on the food you're about to eat.• Dedicating time to enjoy the taste and textures of foods can have a positive effect on your• food intake• Enact family meal time plan to eat as a family at least a few times each week. Turn off the TV,

phones and other electronic devices to encourage mealtime talk.• Be Active and Ensure regular physical activity

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DIETETICS DAY 2020


INDIAN DIETETIC ASSOCIATION

Indian Dietetic Association founded in 1962 consists of dietitians, nutritionist and workers in the allied health field who for work for the following aims and objectives

Objectives

To promote cause of science by encouraging the spirit of active pursuit of knowledge and original scientific research particularly in the field of Nutrition and Dietetics.

To facilitate social, cultural and scientific fellowship and cultivation of goodwill among its members

To safeguard the interest of scientists generally and its members in particular and work for their welfare

Dietetics Day Theme 2020: DIETITIANS REACHING THE UNREACHED

WHO IS A DIETITIAN??

Registered Dietitians (RDs)

Is a qualified health professionals who assess, diagnose and treat, diet and nutrition

problems at an individual and wider public health level.

uses the most up to date public health and scientific research on food, health and

disease, which they translate into practical guidance to enable people to make

appropriate lifestyle and food choices.

Are the nutrition professionals to be statutorily regulated, and governed by an

ethical code.

Their advice influences food and health policy across the spectrum from government, local communities and

individuals.


ROLE OF A DIETITIAN

Dietitians work in the

• Private Practice

• Industry & Education

• Research& Sport

• Media,

• Public Relations

• Publishing, NGOs & Government.

Dietitian in a Healthcare Industry

• Critical Care Dietitian, Renal Dietitian, Gastroenterology Dietitian, Maternal and

Geriatric Dietitian, Diabetes and Endocrinology Dietitian, Cardiology Dietitian etc

Community Dietitian: The community Dietitian’s role is to:

Plan, implement and evaluate community nutrition programs for those groups

identified as 'at risk' . Work intersectorally with Community Service providers to

improve the nutritional status of our local population


NUTRITION CARE FUNCTIONS

• Nutrition Assessment

• Determine the severity of malnutrition

• Determine protein energy needs, enteral and parenteral indicated

appropriately

• Assess the adequacy of access for nutrition therapy

• Initiate and manage enteral and parenteral nutrition

• Complete orders

• Document in patient records

• Daily patient assessment

• Recommended changes to therapy

• Transition feedings: Parenteral to enteral to oral


Nutrition is crucial for the fulfilment of

human rights – especially those of the most

vulnerable children and women.


EFFECTIVE TOOL: NUTRITION

EDUCATION

To address crucial issues

Deaths from NCDs are projected to be 80% , occurring in low and middle-income

countries

Nutrition education can be delivered through multiple venues from multiple stakeholders,

and involves activities at the individual, institutional, community, and policy levels.

Via

Urbanization is one of the most significant

demographic trends of the 21st century

Migrants are drawn to urban areas for

employment opportunities and to establish a

better life for themselves and their families.

Each of these characteristics has negative

implications for the health and wellbeing of

the urban poor.

Poor access to safe water and basic sanitation

(a common problem for most urban poor)

results in a range of gastrointestinal disorders

in adults.

COMMUNITY NUTRITION PROGRAMS

To create awareness about the following



• Identify a NGO or any organization already working in the same area but

with different issues.

• Get in touch with the heads of the community and win their confidence.

• Study the nutrition pattern of the community.

• Plan a strategy of entry.

• Implement in a smaller group and evaluate the outcome.

• Use this smaller group to educate others.

• Encourage others to participate.


VARIABLES TO NUTRITION EDUCATION

ACTIONS

1.AIMS OF ACTIONS

Providing information

Providing an enabling

food environment

Providing skills

2.SETTING FOR ACTION

Where information,

education and advice are provided

Where foods are sold

Where foods are produced

Where foods are

consumed

3.SOURCES OF NUTRITION EDUCATION

ACTIONS

Public sector

Private sector

Civil society

4.FOODS/NUTRIENTS INCLUDED IN THE

NUTRITION EDUCATION ACTIONS

Foods

Nutrients


(Nutrition Education and Consumer Awareness Group Nutrition Division (ESN) Food and Agriculture Organization of the United Nations (FAO)


Ref: National Rural Health Mission, Ministry of Health and Family Welfare, Govt of India, 2013

7 FOLD PATH FOR REACHING THE

UNREACHED

• Identifying those families/communities that are unreached.Mapping

• These identified families should be met as a priorityPrioritizing

• Clearly inform them about the why, how and where of good nutrition.Communicating

• Make an effort to look at their point-of-view; it could be a rational problem

Understanding

• Listen to their problems, build a relationship and work with them to solve the problems.

Counseling

• Changing behavior is not easy; it needs repeated counseling and encouragement. Once the families adopt these changes it will be much easier.

Persisting

• The families who have changed their old ways can be organized to help out with counseling other families

Co-ordinating

• Getting people together brings strength and confidence.Mobilizing

Conventional methods: face to face, interactive radio, television

MODALITIES TO REACH THE ‘UNREACHED’

Peer Counsellors : child to child, child to

parent teaching

Utilizing Mobile Health: voice messaging

and visuals

Central Statistical Offices Partnering:

with Governments

Using Technology: alternate sources of power

in schools and health centres


CHALLENGES WITH SUGGESTIONS TO DIETICIANS ‘REACHING THE UNREACHED’

Practicality

Time

Resistance to

change

LanguageAccessibility

Cultural differences

Cost

Resources

Study the

preferences of

the community

and a relevant

dietitian should

deal with that

specific area.

Networking

with the Govt

and other

NGO’s

Suitable

teaching

material and

ideas for the

target

community

Repetitive

counseling ;

Changing one

person/family

will serve as an

example to

others.

Choose most

convenient and

accessible

target groups

Select the

most suitable

timing for

dietitian and

maximum

target group

Choose a

dietitian who

knows the

language or use

a translator

from the

community

Networking

with Govt. and

NGO’s



MEDIA & NETWORKING

Social media platforms are increasingly used by registered dieticians (RDs) to

improve knowledge translation and exchange in nutrition.

The need of the hour is increased participation by all sectors of society; The

Government ,Community ,NGO’s, Media, Educational institutions and Private

organisation

• Education does not end here.

• For maximum benefit, the process should be continued on a regular basis.

• Its sustainability will depend on the same factors that helped to initiate the program.

• Commitment is the core component .


CONSISTENT AND CONTINUED

EDUCATION FOR SUSTAINABILITY

hment.

SUPPLEMENT USAGE BY ATHLETES

Sports nutrition as a field has grown

substantially over the past 50 years,

from glycogen loading to today’s

scientifically validated ergogenic aids.

DIETITIAN REACHING THE UNREACHED

A Sports Nutritionist advises

athletes on nutritional

regimes that focus towards

optimal performance

Number of Sports

ARE WE

READY FOR

THE BIG

CHALLENGE ?

Benefits of optimum

Nutrition in Athletes • Sufficient energy

• Desired body composition

• Optimum performance

• Promote rapid recovery

& regeneration

• Faster & better injury

repair

• Improved motor skills

• Disease prevention

• Overall health and

Wellness

Nutritionist who can cater to athletes :

8.6 thousand

Sports Nutritionist to a Athlete : 1: 2093 APPROX VALUE BY IOC

Unlock your athletic

potential with great nouris Consult a qualified Sports Nutritionist

Role of Sports Nutritionist Nutrition goals and requirements

of athletes are not static.

Periodization in nutrition is

required as per the season and

training schedule. Here we play the important part.



DIET PLAYS A KEY ROLE IN THE MANAGEMENT OF KIDNEY DISEASE

Malnutrition is a complication

in Chronic Kidney Disease (CKD) known to affect quality of life and prognosis although not often diagnosed.

IMPACT OF KIDNEY DISEASE ON NUTRITIONAL STATUS

PROCEDURE OF INFLAMMATION

DIALYSIS INCREASED

PREVALENCE OF KIDNEY DISEASE IN INDIA THE LANCET ,Published:January, 2017

CATABOLISM UREMIC TOXINS ALTERED

MICROBIOME PROTEIN -ENERGY WASTING

METABOLIC FOOD INSECURITY ACIDOSIS

DECREASED APPETITE

INCREASED CYTOKINES REDUCED GHRELIN INCREASED LEPTIN,

INSULIN AND OTHER CIRCULATING APPETITE

REGULATORS

A right diet goes a long way in

reducing mortality, morbidity and

improving the quality of life of patients with kidney disease.

Ref: Times of India, March 14, 2019

As prevalence of

diabetes and hypertension is increasing - the

number of CKD

patients are also increasing!!

PROTECT KIDNEYS

REDUCE RISK

FACTORS

FOLLOW HEALTHY

LIFESTYLE

FOLLOW

UP

•CONTROL DIABETES AND HYPERTENSION WITH A GOOD DIET

•AVOID PROCESSED FOOD CONTAINING EXCESS SALT AND FOOD ADDITIVES

•LIMIT CALORIES BE PHYSICALLY ACTIVE

•GO FOR REGULAR CHECK UP

Renal dietitians analyze protein and calorie intake - monitor the albumin, potassium, sodium, fluid and phosphorus levels.

They prescribe a right diet to correct nutritional deficiencies and prevent muscle wasting.

Responsibilities of a renal dietitian for CKD population expands far beyond the nutritional status of the patient in a clinic .


• Help consumers make informed choices about the food they buy and the lifestyles

they lead. • Play a leading role through traditional media, social media, public speaking, writing, blogging and more.

• Generate truthful on-pack claims, relevant nutrition labels that are

substantiated.

• Decide nutritional composition and formulation aspects of general and

therapeutic food and nutraceutical products.

• Align with brands, manufacturers, and retailers, dietitians can have an

important seat at the table.

Dietitians are uniquely qualified to have a powerful voice to:

• Ensure marketing teams communicate the right product science.

Dietitians help companies:

• Ensure scientific knowledge is incorporated that meets local and

international regulatory/licensing requirements.

Qualified trained dietitians play a key role to:

• Ensure validation by extensive technical/clinical and pre-clinical research, market analyses, competitor benchmarking

and monitor trends.

By working with the food industry–

• Play an integral role in the food industry’s health and wellness efforts.


Dietitians in the Food Industry

Impactful

Nutrition

Communication

Effective

Nutrition

Formulation


Roles and Responsibilities

Dietitians Reaching the Unreached

Integral part of Interdisciplinary Team

• Advice about the assessment of nutrition therapy

and other nutrients(E.g. immunonutrition ,

vitamins, minerals)

• Make protocols of nutrition therapy on metabolic

disorders, ICU, surgery etc

• Development and interpretation of screening tools.

• Education on (par)enteral nutrition and highly

complex nutrition therapy.

• Consultant to advice on(par)enteral

nutrition(indication, choice of feeding solutions,

nutrition goals).

• Initiate and perform nutritional assessment

• Research on (par)enteral nutrition and complex

nutrition therapy

Clinical Dietitian

Speech Therapist

Critical Care Physician

Intensivist

Patient Care &

Patient and family

education

Social worker

Spiritual care provider

Physiotherapist

Respiratory Therapist

Diet plan as per diagnosis

Modifications as per patient diagnosis , biochemical

profile

Personalized menu planning as per eating habits

Tube Feeding, Parenteral Planning & management Nutrition as essential

DIETITIANS PLAY AN INTEGRAL ROLE IN NUTRITION CARE PLAN , CRUCIAL COMPONENT OF “NUTRITION THERPY

Therapeutic Menu Planning

Nutrition Diagnosis, Assessment and Reassessment

Identify and label the problem and determine cause. Analyze and interpret with evidence based standards and document.

Nutrition Intervention

Formulate goals and determine plan of action

Deliver care and implement the plan and document

Nutrition monitoring and evaluation

Monitor the outcome, Measure and evaluate the outcome and document

CLINICAL DIETITIAN provide medical nutrition therapy for patients in institutions such as Hospitals.



Thank you

Documents

GRQ¶WQHHG SRRUGLHWVDUH now theidaindia.com/wp-content/uploads/2020/03/IDA_BC_Dietetics_day_202… · scientifically validated ergogenic aids. DIETITIAN REACHING THE UNREACHED A Sports